table of contents chapter 6.0: the economic contribution of hospitals
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TABLE OF CONTENTS CHAPTER 6.0: The Economic Contribution of Hospitals Chart 6.1: National Health Expenditures as a Percentage of Gross Domestic Product and Breakdown of National Health Expenditures, 2008 Chart 6.2: Number of Full-time and Part-time Hospital Employees, 1993 – 2008 - PowerPoint PPT PresentationTRANSCRIPT
TABLE OF CONTENTS
CHAPTER 6.0: The Economic Contribution of Hospitals
Chart 6.1: National Health Expenditures as a Percentage of Gross Domestic Product and Breakdown of National Health Expenditures, 2008
Chart 6.2: Number of Full-time and Part-time Hospital Employees, 1993 – 2008
Chart 6.3: Impact of Community Hospitals on U.S. Economy (in $ billions), 2008
Chart 6.4: Hospital Employment vs. Employment in Other Industries, 2009
Chart 6.5: Average Weekly Earnings of Workers, Hospitals vs. All Service-providing Industries, 1990 – 2008
Chart 6.6: Hospital Employment by Occupation Type, 2008
Chart 6.7: Percent Change in Employment, Seasonally-adjusted: Hospital vs. All Industries (Total Non-farm), 2007 – 2009
Chart 6.8: Percent of Total Regional Employment by Hospitals, 2008
Chart 6.9: Impact of Community Hospitals on U.S. Jobs (in millions), 2008
Chart 6.10: Percent of Hospital Costs by Type of Expense, 4Q08
Chart 6.11: Hospital Impact on Sectors of the U.S. Economy (in $ billions), 2008
Chart 6.12: Impact of Community Hospitals on U.S. Economy; All States, DC and Total U.S., 2008
Chart 6.1: National Health Expenditures as a Percentage of Gross Domestic Product and Breakdown of National Health Expenditures, 2008
Source: Centers for Medicare & Medicaid Services, Office of the Actuary. Data released January 5, 2010.
Health Care Expenditures,
16.2%
Chart 6.2: Number of Full-time and Part-time Hospital Employees,1993 – 2008
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2008, for community hospitals.
Chart 6.3: Impact of Community Hospitals on U.S. Economy (in $ billions), 2008
Source: Avalere Health, using BEA RIMS-II (1997/2006) multipliers, released in 2008, applied to 2008 American Hospital Association Annual Survey data. Note: Multipliers (2002/2007) released in 2010 and used for Chart 6.12 no longer include the national level multipliers needed for this chart.
Direct Effect
Ripple Effect
Total Contribution
Chart 6.4: Hospital Employment vs. Employment in Other Industries, 2009(1)
Source: Department of Labor, Bureau of Labor Statistics, Current Employment Statistics (CES) Survey, customized tables. Data released 2010.Link: http://www.bls.gov/ces.(1) 2009 figures reflect annual projections.
Chart 6.5: Average Weekly Earnings of Workers, Hospitals(1) vs. All Service-providing Industries, 1990 – 2008
Source: Department of Labor, Bureau of Labor Statistics, Current Employment Statistics (CES) Survey, customized tables. Data released 2010.Link: http://www.bls.gov/ces. (1) Includes physicians employed by hospitals.
Chart 6.6: Hospital Employment by Occupation Type, 2008
Source: Department of Labor, Bureau of Labor Statistics, 2008 National Industry-specific Occupational Employment and Wage. Data released February 2010. Link: http://www.bls.gov/oes/2008/may/naics4_622100.htm.
Chart 6.7: Percent Change in Employment, Seasonally-adjusted: Hospital vs. All Industries (Total Non-farm), 2007 – 2009
Source: Department of Labor, Bureau of Labor Statistics. Data released February 2010. Link: http://www.bls.gov/bls/employment.htm.
2007 20092008
Chart 6.8: Percent of Total Regional Employment(1) by Hospitals, 2008
Source: Avalere Health analysis of American Hospital Association 2008 Annual Survey data and 2008 total non-farm employment data from the Bureau of Labor Statistics.(1) Does not include farm employment.
NewEngland
Mid-Atlantic
East North CentralWest North Central
West South Central
Mountain
Pacific
EastSouth
Central
South Atlantic
3.3%
3.1%
3.4%
4.5%
4.4%
4.3%
3.6%
4.5%
4.8%
Chart 6.9: Impact of Community Hospitals on U.S. Jobs (in millions), 2008
Source: Avalere Health, using BEA RIMS-II (1997/2006) multipliers, released in 2008, applied to 2008 American Hospital Association Annual Survey data. Note: Multipliers (2002/2007) released in 2010 and used for Chart 6.12 no longer include the national level multipliers needed for this chart.
Chart 6.10: Percent of Hospital Costs(1) by Type of Expense, 4Q08
Source: AHA analysis of Centers for Medicare and Medicaid Services data, using base year 2006 weights.(1) Does not include capital.(2) Includes postage and telephone expenses.
(2)
Chart 6.11: Hospital Impact on Sectors of the U.S. Economy (in $ billions), 2008
Industry Economic Impact
Health care and social assistance $742.6
Manufacturing 316.2
Real estate and rental and leasing 199.9
Finance and insurance 134.9
Professional, scientific and technical services 87.7
Retail trade 86.2
Wholesale trade 69.1
Information 69.1
Transportation and warehousing 65.7
Administrative and waste management services 65.4
Accommodation and food services 54.2
Other services 52.9
Management of companies and enterprises 42.4
Utilities 37.5
Agriculture, forestry, fishing and hunting 31.0
Educational services 17.0
Arts, entertainment, and recreation 15.1
Mining 13.3
Construction 10.5
Total $2,110.9
Source: Avalere Health, using BEA RIMS-II (1997/2006) multipliers, released in 2008, applied to 2008 American Hospital Association Annual Survey data. Note: Multipliers (2002/2007) released in 2010 and used for Chart 6.12 no longer include the national level multipliers needed for this chart.
Chart 6.12: Impact of Community Hospitals on U.S. Economy; All States, DC and Total U.S., 2008
Source: Avalere Health, using BEA RIMS-II (2002/2007) multipliers for hospital NAICS Code 622, released 2010, applied to American Hospital Association Annual Survey data for 2008. Hospital jobs are total part time and full time jobs. Hospital labor income is defined as payroll plus benefits. The percent of total employment supported by direct and indirect hospital employment is based on 2008 BLS data. Expenditures are defined as net patient revenue + other operating revenue.*Multipliers (2002/2007) released in 2010 no longer include the national level multipliers needed for the U.S. summary row. BEA RIMS-II (1997/2006) multipliers released in 2008 and applied to 2008 AHA annual survey data were used instead.
State Name
Number of Hospital
Jobs (FT and PT)
Multiplier for Employment
Effect of Hospital Jobs on Total Jobs in State
Economy
Percent of Total (Non-farm)
Employment Supported by
Hospital Employment
Hospital Payroll and Benefits
($ millions)Multiplier for
Earnings
Effect of Hospital Payroll and Benefits
on Total Labor Income ($ millions)
Hospital Expenditures
($ millions)Multiplier for Output
Effect of Hospital Expenditures on Total Output in
State Economy ($ millions)
Alabama 82,924 1.9153 158,824 7.97% $4,129 1.6722 $6,905 $8,173 2.0078 $16,410Alaska 11,244 1.7895 20,121 6.25% $807 1.4826 $1,196 $1,674 1.7328 $2,901Arizona 83,840 2.1614 181,212 6.93% $5,322 1.7384 $9,253 $10,722 2.0828 $22,332Arkansas 50,032 1.8107 90,593 7.53% $2,401 1.5731 $3,776 $4,962 1.8673 $9,265California 491,436 2.2124 1,087,253 7.26% $34,639 1.9085 $66,108 $64,879 2.3629 $153,302Colorado 69,292 2.1595 149,636 6.37% $4,450 1.8991 $8,451 $9,346 2.3312 $21,786Connecticut 65,710 1.9041 125,118 7.36% $4,419 1.7059 $7,538 $8,017 2.0567 $16,488Delaware 20,294 1.9527 39,628 9.09% $1,206 1.6067 $1,937 $2,211 1.9183 $4,242District of Columbia 25,710 1.5140 38,925 5.53% $1,815 1.3173 $2,391 $3,384 1.3451 $4,552Florida 274,500 2.0599 565,443 7.31% $16,285 1.7775 $28,946 $34,653 2.1372 $74,061Georgia 141,040 2.1780 307,185 7.49% $7,598 1.9011 $14,445 $15,535 2.3309 $36,211Hawaii 18,262 2.1229 38,768 6.26% $1,221 1.6764 $2,048 $2,353 2.0035 $4,715Idaho 24,064 1.7646 42,463 6.54% $1,268 1.5100 $1,914 $2,608 1.7597 $4,589Illinois 238,705 2.1250 507,248 8.53% $13,886 1.9297 $26,796 $28,206 2.3965 $67,597Indiana 127,002 1.9919 252,975 8.56% $7,277 1.7360 $12,633 $14,947 2.1140 $31,598Iowa 71,229 1.6912 120,462 7.90% $3,413 1.5036 $5,132 $6,655 1.7688 $11,771Kansas 52,432 1.7430 91,389 6.57% $2,771 1.5491 $4,293 $5,477 1.8460 $10,110Kentucky 80,186 1.9762 158,464 8.56% $4,256 1.7043 $7,253 $9,239 2.0453 $18,897Louisiana 86,229 1.8659 160,895 8.30% $4,454 1.6193 $7,212 $9,035 1.8847 $17,029Maine 34,230 2.0724 70,938 11.49% $1,891 1.6841 $3,185 $3,594 2.0070 $7,213Maryland 93,519 1.9948 186,552 7.18% $5,598 1.7351 $9,713 $11,723 2.0914 $24,517Massachusetts 172,940 2.0512 354,735 10.78% $10,232 1.8316 $18,741 $21,165 2.2304 $47,207Michigan 205,249 2.0175 414,090 9.95% $12,197 1.7873 $21,801 $23,819 2.1522 $51,263Minnesota 116,196 2.1343 247,997 8.98% $6,857 1.8292 $12,542 $12,841 2.2360 $28,713Mississippi 58,582 1.8150 106,326 9.27% $3,030 1.5470 $4,687 $6,143 1.8279 $11,229Missouri 133,058 2.0654 274,818 9.85% $7,353 1.7935 $13,187 $16,809 2.1751 $36,560Montana 21,332 1.8048 38,500 8.64% $1,106 1.5060 $1,665 $2,154 1.7524 $3,775Nebraska 42,619 1.6774 71,489 7.41% $2,207 1.5112 $3,336 $4,660 1.7665 $8,232Nevada 25,438 2.0003 50,884 4.03% $1,917 1.6122 $3,091 $3,945 1.9054 $7,517New Hampshire 31,305 1.9474 60,963 9.44% $1,911 1.7406 $3,326 $3,577 2.0059 $7,175New Jersey 137,998 2.1351 294,640 7.28% $9,286 1.8758 $17,418 $16,787 2.3259 $39,044New Mexico 25,399 1.9778 50,234 5.93% $1,712 1.5733 $2,693 $3,255 1.8291 $5,954New York 415,017 1.8552 769,940 8.76% $29,607 1.6656 $49,313 $51,082 2.0532 $104,882North Carolina 166,759 2.1126 352,295 8.52% $9,215 1.7939 $16,530 $18,430 2.1879 $40,322North Dakota 19,460 1.6204 31,533 8.59% $1,015 1.4280 $1,450 $1,843 1.6398 $3,022Ohio 271,163 2.1246 576,113 10.74% $15,076 1.8449 $27,813 $30,222 2.2453 $67,857Oklahoma 55,480 1.9668 109,118 6.85% $3,092 1.6704 $5,164 $6,715 1.9841 $13,323Oregon 58,018 2.1380 124,042 7.22% $3,893 1.7366 $6,761 $7,438 2.0826 $15,491Pennsylvania 286,807 2.0947 600,775 10.36% $15,429 1.8911 $29,177 $32,876 2.3207 $76,296Rhode Island 21,781 1.9436 42,334 8.78% $1,506 1.6994 $2,559 $2,680 2.0266 $5,431South Carolina 74,674 2.0900 156,069 8.10% $4,067 1.7386 $7,070 $9,180 2.1320 $19,572South Dakota 22,555 1.5667 35,337 8.59% $1,047 1.4124 $1,479 $2,085 1.6353 $3,409Tennessee 116,213 2.0766 241,328 8.70% $5,847 1.8257 $10,675 $12,704 2.2455 $28,527Texas 329,892 2.2467 741,168 6.99% $19,835 1.9065 $37,814 $41,128 2.3750 $97,680Utah 41,183 2.2215 91,488 7.30% $2,024 1.8642 $3,774 $4,595 2.3051 $10,593Vermont 13,374 1.8769 25,102 8.17% $928 1.5286 $1,419 $1,584 1.7553 $2,780Virginia 111,927 1.9607 219,455 5.83% $6,666 1.7487 $11,656 $14,534 2.1569 $31,348Washington 100,313 2.1372 214,389 7.25% $6,744 1.7640 $11,896 $13,077 2.1519 $28,140West Virginia 42,707 1.8375 78,474 10.30% $2,154 1.5356 $3,308 $4,330 1.7631 $7,635Wisconsin 111,400 1.9716 219,636 7.63% $6,367 1.7246 $10,980 $13,708 2.0665 $28,328Wyoming 9,183 1.5418 14,158 4.75% $512 1.3465 $689 $977 1.5294 $1,494
United States* 5,379,902 2.8048 15,089,549 11.03% $321,936 2.4031 $773,644 $641,736 3.2896 $2,111,054